complaint·July 29, 2024

In regards to the allegation that Resident sustained multiple scratches while in care. LPA was not able to interview Resident 1 (R1). R1 passed away on 08/15/2021. LPA interviewed Administrator who stated that there were no incidents that occurred where any facility staff member scratched the resident. LPA interviewed staff members who worked at the facility in 2021, who stated that they handled R1 with care and denied scratching R1. LPA interviewed residents who have been at the facility since 2021. Information obtained from residents indicated there was no issues with staff or care and supervision during the entirety of their residency at the facilities. LPA was unable to contact a representative from Arbor Hospice to obtain additional information. LPA reviewed the notes from hospice agency, which did not indicate any abnormal scratches. In regards to the allegation that residents are not administering medication as prescribed, LPA interviewed Administrator stated that staff review doctor’s orders and the medication is given to the residents on time, every day. Information obtained from interviews with staff members who worked at the facility in 2021 indicated that staff administer resident’s medications following doctor’s orders. Residents currently placed at the facility indicated no issues with receiving their medications as prescribed. LPA was unable to contact a representative from Arbor Hospice to obtain additional information. During the LPA’s record review, Medications Administrator Records (MARS) appeared to have been provided and filled out correctly. LPA also reviewed R1’s Centrally Stored Medication log. No additional documents were able to be reviewed due to the time frame since R1’s passing. Based on LPA’s observation, interviews conducted, and record review, the allegations that R1 sustained multiple scratches while in care, R1 not administered medication as prescribed, and medication not locked in a cabinet is unsubstantiated due to the inability to interview pertinent parties and review pertinent documentation. A finding of unsubstantiated means the allegations may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was discussed with and provided to the Administrator, Jane Mikenas.